Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT MAXILLOFACIAL W CONTRAST
Muscatine, IA
See all hospitals reporting CPT 70487 →Price type
Unity Healthcare’s median price of $167 is 61% below the median hospital's median price ($427), higher than 7% of the 2,577 hospitals reporting CPT 70487. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $89.48 | $92.59 | $49.40 – $138.88 |
| 2 | Ambetter hmo fee schedule · both | $89.48 | $92.59 | $49.40 – $138.88 |
| 3 | Blue Cross Blue Shield medicare advantage fee schedule · both | $89.48 | $92.59 | $49.40 – $138.88 |
| 4 | Wellmark medicare advantage fee schedule · both | $91.27 | $94.44 | $50.39 – $141.66 |
| 5 | Humana medicare advantage fee schedule · both | $93.95 | $97.21 | $51.87 – $145.82 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $93.95 | $97.21 | $51.87 – $145.82 |
| 7 | UnitedHealthcare hmo fee schedule · both | $131.91 | $135.94 | $72.00 – $203.91 |
| 8 | UnitedHealthcare ppo fee schedule · both | $131.91 | $135.94 | $72.00 – $203.91 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $164.13 | $164.13 | $164.13 – $164.13 |
| 10 | Aetna medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 11 | Wellmark medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 12 | Humana medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 13 | UnitedHealthcare medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 14 | Wellmark commercial fee schedule · both | $195.10 | $198.07 | $102.00 – $297.10 |
| 15 | Wellmark hmo fee schedule · both | $195.10 | $198.07 | $102.00 – $297.10 |
| 16 | Cigna commercial fee schedule · both | $194.00 | $198.72 | $104.08 – $298.07 |
| 17 | Wellmark ppo fee schedule · both | $229.50 | $233.03 | $120.00 – $349.60 |
| 18 | Ambetter hmo case rate · outpatient | $262.62 | $262.62 | $262.62 – $262.62 |
| 19 | Aetna hmo fee schedule · both | $266.73 | $262.70 | $127.32 – $394.06 |
| 20 | Aetna ppo fee schedule · both | $316.30 | $308.70 | $146.08 – $463.73 |
| 21 | Aetna hmo fee schedule · outpatient | $437.21 | $437.21 | $437.21 – $437.21 |
| 22 | Aetna ppo fee schedule · outpatient | $461.17 | $461.17 | $461.17 – $461.17 |
| 23 | Wellmark commercial percent of total billed charges · inpatientfrom % of charges | $510.01 | $510.01 | $510.01 – $510.01 |
| 24 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $510.01 | $510.01 | $510.01 – $510.01 |
| 25 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $510.01 | $510.01 | $510.01 – $510.01 |
Last updated: Jan 28, 2026
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